No abstract available.
Breast* ; Humans ; Infant, Newborn ; Infant, Premature* ; Milk, Human*

PURPOSE: The purpose of this study was to analyze factors influencing the quality of life in Vietnamese married immigrant women in Korea. The factors included socio-demographic characteristics, spouse's support, and social support of Vietnamese married immigrant women. METHODS: A descriptive survey was conducted to collect data from 190 subjects during the period between May and June, 2015. The randomly sampled subjects answered a self-report questionnaire translated into Vietnamese. Collected data were analyzed using SPSS/WIN 21. RESULTS: The subjects' quality of life was found to be influenced by economic level, subjective perception of their own and spouse's health, Korean communication ability, spouse's support, and social support. The most influential factor for the quality of life was spouse's support, and next, subjective perception of their own health, Korean communication ability, and economic level in order of influence. CONCLUSION: The results of this study suggest that social support programs should be customized to the subjects' characteristics in order for married immigrant women to adjust themselves to new Korean environments and to lead a high-qualitylife through the promotion of marital relationship, Korean communication ability, health status, and economic capability.
Asian Continental Ancestry Group* ; Communication ; Emigrants and Immigrants* ; Female ; Humans ; Korea* ; Marriage ; Quality of Life* ; Vietnam

OBJECTIVE: To evaluate the colonic motility and nutrients intake in children with spastic cerebral palsy (CP) and to compare the results with those of normal children. METHOD: Thirty-eight children with spastic CP were participated in this study. They took the radioopaque markers for 3 successive days. Then, abdominal X-ray was taken on the fourth day. Total and segmental colon transits were estimated by the simplified assessment of a single-film technique by Metcalf et al. The amounts of nutrients intake for 3 days were recorded and nutritional factors were analyzed by ESHA Food Processor. Then, daily intakes of the nutrients were compared with Recommended Dietary Allowance of the Korean Nutrition Society. RESULTS: Total and segmental colon transit time were more than 2 times delayed in children with spastic CP as compared with those of normal controls. Total colon transit time was significantly prolonged in quadriplegic and non-ambulatory children (p<0.05). On the evaluation of daily nutrients intake, most of nutritional factors were inadequate in children with spastic CP. CONCLUSION: The children with spastic CP had the problems in colonic motility and nutritional intake. Also, delayed colon transit time was significantly related with poor mobility. Therefore, early intervention for these problems will be required in spastic CP, especially quadriplegic and non-ambulatory children.
Cerebral Palsy* ; Child* ; Colon* ; Early Intervention (Education) ; Humans ; Muscle Spasticity* ; Recommended Dietary Allowances

An esophago-tracheal fistula is a distressing and rapidly fatal complication of cancer infiltrating the mediastinum. The passage of swallowed saliva and solid or liquid food into the bronchial tree causes coughing and frequent episodes of putmonary infection and collapse. Curative resection is generally impossible due to the extent of the malignant leision and respiratory disability. In principle, peroral endoscopic intubatian provides the best available palliative therapy. Peroral intubation with a standard prosthesis fails to occlude inoperable malignant esopbago-tracheal fistulas located above the narrowed segment or when there is little or no stricture at all. To overcome these problems, the fistula is iniubated perorally with a prosthesis surrounded by a foam rubber cuff contained in silicone sheath, in which a vacuum can be created. The cuffed esophageal prosthesis can improve the quality of life in patients with malignant esophago-tracheal fistulas that do not respond to conventional intubation. We experieneed a case of the endoscopic treatment with a cuffed prosthesis for esophago-tracheal fistula without esophageal stricture in a patient with malignant lymphoma. After treatment, there were no symptoms related to the fistula and good transit of food was achieved. So we report this case with a brief review of the previous literatures.
Constriction, Pathologic ; Cough ; Esophageal Stenosis* ; Fistula* ; Humans ; Intubation ; Lymphoma* ; Mediastinum ; Palliative Care ; Prostheses and Implants* ; Quality of Life ; Rubber ; Saliva ; Silicones ; Vacuum

The main objective of palliative treatment of malignant esophageal stenosis is rapid restoration of passage of fluid and solids. Endoscopic intubation with plastic endoprosthesis may lead to prompt relief of dysphagia and is a effective procedure for the palliative treatment of malignant esophageal stenosis. However, the insertion procedure, which necessitates prior dilatation, is traumatic and associated with considerable risk for perforation and bleeding. Tumor overgrowth, stent migration and stent blockage are frequent complications. Recently, self expanding metal stents woven in the form of tubular mesh made from surgical grade stainless steel alloy filaments(Wallstent), have been developed to offer possible advatage over conventional plastic tubes. The small diameter of introducer system carrying the compressed stent(18Fr) allows a relatively easy insertion procedure that dose not require prior dilatation. This stent is pliable. self-expanding and flexible in the longitudinal axis. We experienced a case of a 74-year-old male with malignant esophageal stenosis in whom self-expanding Wallstent was implanted with successful oral nutrition and much improvement of dysphagia.
Aged ; Alloys ; Axis, Cervical Vertebra ; Deglutition Disorders ; Dilatation ; Esophageal Stenosis* ; Hemorrhage ; Humans ; Intubation ; Male ; Palliative Care* ; Plastics ; Stainless Steel ; Stents

Endoseopic sphincterotomy(EST) has been an accepted procedure in patients with current or recurrent common bile duct stones. The success rate of sphineterotomy and of subaequent stone extraction were reported upto 90%. Percutaneous transhepatic cholecystoscopy-lithotripsy(PTCCS-L) could be one of the non-surgical treatment modalities for gallbladder stones, and has been considered as a safe, reliable and technically easy therapeutic procedure through improvement in PTCCS-L manipuiatian and through the development of new devices for this technique. PTCCS-L could be usually performed in the sgrgically high risk groups with gallbladder stones. In this report, we presented successful endoscopic biliary lithotripsy in a 60-year-old male with gallstones of gall bladder, cystic duct, and common bile duct, who was highly risk for surgery, because he has been suffered from advanced liver disease. Endoseopic sphincterotomy and stone removal with basket were done for the removal of common bile duct stones. PTCCS was performed and complete removal of gallbladder stones was achieved. Cystic duict stone was successfully removed after bougie dilation of cystic duct. There has been no recurrence of gallstones until 1 year of follow-up.
Common Bile Duct* ; Cystic Duct* ; Follow-Up Studies ; Gallbladder* ; Gallstones* ; Humans ; Lithotripsy* ; Liver Diseases ; Male ; Middle Aged ; Recurrence ; Urinary Bladder

One of the most interesting congenital malformations is a conjoined twin. Conjoined twins are a rare occurrence in obstetric practice. More commonly known as Siamese twins, this phenomenon is shrouded in mystery and considered a curiosity by general public. Current technology is providing a basis for earlier diagnosis and a better prognosis. Frequently, the twins are born dead, but there are a few cases in which the twins survive. We present a case of thoraco-omphalophagus with omphalocele in 35 years old woman at 25weeks 5 days gestation by 3-D ultrasonography and MRI.
Adult ; Diagnosis ; Exploratory Behavior ; Female ; Hernia, Umbilical* ; Humans ; Magnetic Resonance Imaging* ; Pregnancy ; Prognosis ; Twins, Conjoined ; Ultrasonography*

With the developement of the conventional abdominal ultrasound, many asymptomatic gallbladder diseases are noted. The combined diagnostic modalities using abdominal ultrasound, endoscopic ultrasound and endoscopic retrograde cholangiopanereatography are useful for the diagnosis of gallbladder diseases, especially polypoid lesions. But, diagnostic accuracy or ability is not satisfactory for the detection of early gallbladder cancer, among which there are increasing trends of flat or superficial type. Many efforts were tried to diagnose these lesions through the variable methods by direct access to the gallbladder, such as percutaneous transhepatic cholecystoscopy(PTCCS). With the advent of cystic duct cannulation method, endoscopic cholecystoduodenal stenting or nasocholecystic drainage come to be available for the treatment of acute suppurative cholecystitis. Via this route, double contrast study with barium sulfate and CO2 showed fine reticular mucosal structures of the gallbladder and increased diagnostic accuracy af the flat type cancer. We report 2 cases of gallbladder diseases with early cancer confined to the mucosa and adenomyomatous hyperplasia. They were diagnosed by the double contrast method of gallbladder that was firstly introduced domestically by us after endoscopic cannulation of cystic duct and pla~eement of the catheter to the gallbladder.
Barium Sulfate ; Catheterization ; Catheters ; Cholecystitis ; Cystic Duct ; Diagnosis ; Drainage ; Gallbladder Diseases* ; Gallbladder Neoplasms ; Gallbladder* ; Hyperplasia ; Mucous Membrane ; Stents ; Ultrasonography

With the developement of the conventional abdominal ultrasound, many asymptomatic gallbladder diseases are noted. The combined diagnostic modalities using abdominal ultrasound, endoscopic ultrasound and endoscopic retrograde cholangiopanereatography are useful for the diagnosis of gallbladder diseases, especially polypoid lesions. But, diagnostic accuracy or ability is not satisfactory for the detection of early gallbladder cancer, among which there are increasing trends of flat or superficial type. Many efforts were tried to diagnose these lesions through the variable methods by direct access to the gallbladder, such as percutaneous transhepatic cholecystoscopy(PTCCS). With the advent of cystic duct cannulation method, endoscopic cholecystoduodenal stenting or nasocholecystic drainage come to be available for the treatment of acute suppurative cholecystitis. Via this route, double contrast study with barium sulfate and CO2 showed fine reticular mucosal structures of the gallbladder and increased diagnostic accuracy af the flat type cancer. We report 2 cases of gallbladder diseases with early cancer confined to the mucosa and adenomyomatous hyperplasia. They were diagnosed by the double contrast method of gallbladder that was firstly introduced domestically by us after endoscopic cannulation of cystic duct and pla~eement of the catheter to the gallbladder.
Barium Sulfate ; Catheterization ; Catheters ; Cholecystitis ; Cystic Duct ; Diagnosis ; Drainage ; Gallbladder Diseases* ; Gallbladder Neoplasms ; Gallbladder* ; Hyperplasia ; Mucous Membrane ; Stents ; Ultrasonography

The thalamic vascular supply is categorized into the anterior, paramedian, inferolateral, and posterior territories. The artery of Percheron (AOP), a solitary trunk that is an uncommon anatomic variant, provides bilateral arterial supply to the paramedian thalami and the rostral midbrain. Occlusion of this artery results in bilateral thalamic and mesencephalic infarctions. The case described herein is of a patient with AOP who presented with the sudden onset of lethargy.
Arteries ; Humans ; Infarction ; Lethargy ; Mesencephalon ; Thalamus